An estimated 22,000 nurses in England come from European countries, more than four percent of all nurses and midwives. But with Brexit looming and EU citizens residency rights still up in the air, many are considering their options.

“And this is not just because the recruitment pipeline is going to be squeezed because we are leaving the single market we are not going to be able to recruit so easily, but because a lot of nurses might not feel welcome, they might not want to work here anymore.”

“That’s going to affect the level of care that NHS trusts can provide. Remember NHS trusts are already very squeezed financially, and it’s going to place more emphasis on recruiting either domestically here in the UK which is going to be difficult but also from outside of Europe fill those shortages.”

And the crisis is already unfolding with a study from the Health Service Journal revealing this January that 96 percent of hospitals across the UK “failed to meet their own planned level for registered nurses working during the day.”

“What we’ve seen is cyclical shortages of nurses that have occurred every five, ten years and when that has happened we have relied on foreign nurses either nurses from the EU or from outside of the EU to come and fill those shortages,” Marangozov added.

NHS nurse Danielle Tiplady’s thinks the government is making the situation even worse by not training British nurses, slashing university bursaries and not giving people any incentives to join the much-depleted workforce.

“Nursing is in a huge crisis we have a 24,000 vacancy rate, it doesn’t add up that the government would take away something to reward people to go into nursing, to deter them, when we have such huge vacancy rates all over the country,” she said.

“I became a nurse after working as a care assistant after a few years, it seemed like a natural progression and I wanted to learn more skills and new ways to help care for people as well because caring is my passion. I was really fortunate to get a bursary. It wasn’t easy for me to go to university and it’s only with the bursary and working hard that I was able to achieve that.”

“They have to ensure we have enough homegrown domestic nurses to fill the gaps that are going to be left by EU nurses when we leave the European Union.

“That might require pay rises, it might require making the environment better to work in, there are a lot of pressures within the NHS many nurses might be thinking ‘we don’t want to work in this sort of pressurized environment’.

“But really we have to make sure that we’ve got enough nurses taking up training places, domestic nurses taking up training places so that we don’t face those sorts of shortages.”

Until the numbers are squared, the NHS may find itself without even the bare minimum number of nurses needed to keep itself running.